MEDICARE: SCOTT EPPLEY PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	15529-40	WI
2	1835P0200X	Pediatric Pharmacist	15529-40	WI

General Provider Information

NPI Number	:	1871328799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT EPPLEY PHARMD

Provider Business Mailing Address
First Line	:	1900 SOUTH AVENUE
Second Line	:	DEPARTMENT OF PHARMACY, MAILSTOP LML-001
City	:	LA CROSSE
State	:	WI
Zip	:	54601
Country	:	US
Telephone Number	:	608-775-9492
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 SOUTH AVENUE
Second Line	:	DEPARTMENT OF PHARMACY, MAILSTOP LML-001
City	:	LA CROSSE
State	:	WI
Zip	:	54601
Country	:	US
Telephone Number	:	608-775-9492
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2024
Last Update Date	:	09/03/2024

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Directions to “ SCOTT EPPLEY PHARMD” Practice Location

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